BMC Med Inform Decis Mak - Hospital implementation of health information technology and quality of care: are they related?

Tópicos

{ clinic(1479) use(1117) guidelin(835) }
{ medic(1828) order(1363) alert(1069) }
{ health(3367) inform(1360) care(1135) }
{ data(1737) use(1416) pattern(1282) }
{ detect(2391) sensit(1101) algorithm(908) }
{ perform(999) metric(946) measur(919) }
{ activ(1452) weight(1219) physic(1104) }
{ search(2224) databas(1162) retriev(909) }
{ group(2977) signific(1463) compar(1072) }
{ method(1969) cluster(1462) data(1082) }
{ error(1145) method(1030) estim(1020) }
{ general(901) number(790) one(736) }
{ risk(3053) factor(974) diseas(938) }
{ import(1318) role(1303) understand(862) }
{ studi(1119) effect(1106) posit(819) }
{ patient(2837) hospit(1953) medic(668) }
{ age(1611) year(1155) adult(843) }
{ drug(1928) target(777) effect(648) }
{ model(3404) distribut(989) bayesian(671) }
{ extract(1171) text(1153) clinic(932) }
{ howev(809) still(633) remain(590) }
{ system(1050) medic(1026) inform(1018) }
{ ehr(2073) health(1662) electron(1139) }
{ use(2086) technolog(871) perceiv(783) }
{ use(1733) differ(960) four(931) }
{ sequenc(1873) structur(1644) protein(1328) }
{ studi(2440) review(1878) systemat(933) }
{ problem(2511) optim(1539) algorithm(950) }
{ method(1557) propos(1049) approach(1037) }
{ care(1570) inform(1187) nurs(1089) }
{ data(3963) clinic(1234) research(1004) }
{ blood(1257) pressur(1144) flow(957) }
{ record(1888) medic(1808) patient(1693) }
{ research(1218) medic(880) student(794) }
{ data(3008) multipl(1320) sourc(1022) }
{ activ(1138) subject(705) human(624) }
{ can(981) present(881) function(850) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ studi(1410) differ(1259) use(1210) }
{ research(1085) discuss(1038) issu(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ method(2212) result(1239) propos(1039) }

Resumo

CKGROUND: Recently, there has been considerable effort to promote the use of health information technology (HIT) in order to improve health care quality. However, relatively little is known about the extent to which HIT implementation is associated with hospital patient care quality. We undertook this study to determine the association of various HITs with: hospital quality improvement (QI) practices and strategies; adherence to process of care measures; risk-adjusted inpatient mortality; patient satisfaction; and assessment of patient care quality by hospital quality managers and front-line clinicians.METHODS: We conducted surveys of quality managers and front-line clinicians (physicians and nurses) in 470 short-term, general hospitals to obtain data on hospitals' extent of HIT implementation, QI practices and strategies, assessments of quality performance, commitment to quality, and sufficiency of resources for QI. Of the 470 hospitals, 401 submitted complete data necessary for analysis. We also developed measures of hospital performance from several publicly data available sources: Hospital Compare adherence to process of care measures; Medicare Provider Analysis and Review (MEDPAR) file; and Hospital Consumer Assessment of Healthcare Providers and Systems HCAHPS? survey. We used Poisson regression analysis to examine the association between HIT implementation and QI practices and strategies, and general linear models to examine the relationship between HIT implementation and hospital performance measures.RESULTS: Controlling for potential confounders, we found that hospitals with high levels of HIT implementation engaged in a statistically significant greater number of QI practices and strategies, and had significantly better performance on mortality rates, patient satisfaction measures, and assessments of patient care quality by hospital quality managers; there was weaker evidence of higher assessments of patient care quality by front-line clinicians.CONCLUSIONS: Hospital implementation of HIT was positively associated with activities intended to improve patient care quality and with higher performance on four of six performance measures.

Resumo Limpo

ckground recent consider effort promot use health inform technolog hit order improv health care qualiti howev relat littl known extent hit implement associ hospit patient care qualiti undertook studi determin associ various hit hospit qualiti improv qi practic strategi adher process care measur riskadjust inpati mortal patient satisfact assess patient care qualiti hospit qualiti manag frontlin cliniciansmethod conduct survey qualiti manag frontlin clinician physician nurs shortterm general hospit obtain data hospit extent hit implement qi practic strategi assess qualiti perform commit qualiti suffici resourc qi hospit submit complet data necessari analysi also develop measur hospit perform sever public data avail sourc hospit compar adher process care measur medicar provid analysi review medpar file hospit consum assess healthcar provid system hcahp survey use poisson regress analysi examin associ hit implement qi practic strategi general linear model examin relationship hit implement hospit perform measuresresult control potenti confound found hospit high level hit implement engag statist signific greater number qi practic strategi signific better perform mortal rate patient satisfact measur assess patient care qualiti hospit qualiti manag weaker evid higher assess patient care qualiti frontlin cliniciansconclus hospit implement hit posit associ activ intend improv patient care qualiti higher perform four six perform measur

Resumos Similares

Health Info Libr J - Evaluating clinical librarian services: a systematic review. ( 0,726336707877289 )
Appl Clin Inform - The association between use of a clinical decision support tool and adherence to monitoring for medication-laboratory guidelines in the ambulatory setting. ( 0,710004870117219 )
J Med Syst - Analysis of the EHR systems in Spanish Primary Public Health System: the lack of interoperability. ( 0,704092486168942 )
Comput Methods Programs Biomed - A smart medication recommendation model for the electronic prescription. ( 0,703789470679675 )
J Telemed Telecare - Incident reporting in nurse-led national telephone triage in Sweden: the reported errors reveal a pattern that needs to be broken. ( 0,69153378968463 )
J Biomed Inform - Efficient management of multi-version clinical guidelines. ( 0,678859290492907 )
J Med Syst - Development of a point-of-care HIV/AIDS medication dosing support system using the Android mobile platform. ( 0,676703863143425 )
Appl Clin Inform - Reducing risk with clinical decision support: a study of closed malpractice claims. ( 0,664510505609968 )
Int J Med Inform - Online detection of potential duplicate medications and changes of physician behavior for outpatients visiting multiple hospitals using national health insurance smart cards in Taiwan. ( 0,662703585690087 )
J Am Med Inform Assoc - Prescribers' expectations and barriers to electronic prescribing of controlled substances. ( 0,658330044341548 )
Perspect Health Inf Manag - Validating competence: a new credential for clinical documentation improvement practitioners. ( 0,657866253632446 )
J Am Med Inform Assoc - Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report of an AMIA special task force. ( 0,649593168974884 )
J Am Med Inform Assoc - Overrides of medication-related clinical decision support alerts in outpatients. ( 0,644665332334794 )
J Am Med Inform Assoc - Don't fuel the fire: decreasing intravenous haloperidol use in high risk patients via a customized electronic alert. ( 0,644588204191437 )
J Am Med Inform Assoc - Tracking the delivery of prevention-oriented care among primary care providers who have adopted electronic health records. ( 0,644489624152979 )
Int J Med Inform - Towards an understanding of the information dynamics of the handover process in aged care settings--a prerequisite for the safe and effective use of ICT. ( 0,643690136467648 )
Med Biol Eng Comput - Effectiveness of medical equipment donations to improve health systems: how much medical equipment is broken in the developing world? ( 0,641984288221239 )
Int J Med Inform - Functionality test for drug safety alerting in computerized physician order entry systems. ( 0,636883217977333 )
Med Decis Making - Electronic notifications about drug substitutes can change physician prescription habits: a cross-sectional observational study. ( 0,635484163854173 )
Med Decis Making - Improving the accuracy and comparability of model-based economic evaluations of health technologies for reimbursement decisions: a methodological framework for the development of reference models. ( 0,633234398187321 )
Appl Clin Inform - Electronic medical record prompts for lab orders in patients initiating statins. ( 0,631504558314499 )
Appl Clin Inform - Towards meaningful medication-related clinical decision support: recommendations for an initial implementation. ( 0,626711447783985 )
J Am Med Inform Assoc - Classification of medication incidents associated with information technology. ( 0,624498465955866 )
J Am Med Inform Assoc - Optimization of drug-drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard. ( 0,623491617765083 )
J Am Med Inform Assoc - A framework for evaluating the appropriateness of clinical decision support alerts and responses. ( 0,620164586613241 )
J Biomed Inform - The impact of emerging standards adoption on automated quality reporting. ( 0,619209582611953 )
AMIA Annu Symp Proc - Improving Medication Adherence in a Regional Healthcare Information Exchange using a Scalable, Claims-Driven, and Service-Oriented Approach. ( 0,615199220518217 )
J Am Med Inform Assoc - How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study. ( 0,614431438867279 )
AMIA Annu Symp Proc - Evaluation of RxNorm for Medication Clinical Decision Support. ( 0,614408003010915 )
Int J Med Inform - Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. ( 0,613404219396743 )
J Am Med Inform Assoc - Policies for patient access to clinical data via PHRs: current state and recommendations. ( 0,613281072973546 )
J Am Med Inform Assoc - Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts. ( 0,612667217358779 )
BMC Med Inform Decis Mak - How to translate therapeutic recommendations in clinical practice guidelines into rules for critiquing physician prescriptions? Methods and application to five guidelines. ( 0,611653427934442 )
J Biomed Inform - Feasibility of encoding the Institute for Clinical Systems Improvement Depression Guideline using the Omaha System. ( 0,611520488228127 )
J Am Med Inform Assoc - A risk-based regulatory framework for health IT: recommendations of the FDASIA working group. ( 0,608052114604661 )
BMC Med Inform Decis Mak - A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland. ( 0,607645258465365 )
BMC Med Inform Decis Mak - Assessing the accuracy of an inter-institutional automated patient-specific health problem list. ( 0,607073886393417 )
BMC Med Inform Decis Mak - Designing a patient-centered personal health record to promote preventive care. ( 0,605917258569503 )
J Med Syst - Application of RFID technology in patient tracking and medication traceability in emergency care. ( 0,603443644193435 )
Int J Med Inform - Junior doctors' prescribing work after-hours and the impact of computerized decision support. ( 0,592794087608769 )
AMIA Annu Symp Proc - Multi-National, Multi-Institutional Analysis of Clinical Decision Support Data Needs to Inform Development of the HL7 Virtual Medical Record Standard. ( 0,59229249591506 )
Comput Methods Programs Biomed - Developing guideline-based decision support systems using prot?g? and jess. ( 0,591442600599881 )
Int J Med Inform - Examining the evidence of the impact of health information technology in primary care: an argument for participatory research with health professionals and patients. ( 0,590874670510243 )
AMIA Annu Symp Proc - Evaluating the effectiveness of clinical alerts: a signal detection approach. ( 0,590033273836528 )
J Am Med Inform Assoc - Implementation of an innovative, integrated electronic medical record (EMR) and public health information exchange for HIV/AIDS. ( 0,588157299916033 )
Telemed J E Health - Electronic and remote prescribing: administrative, regulatory, technical, and clinical standards and guidelines, April 2013. ( 0,587180674734059 )
AMIA Annu Symp Proc - Improving patient safety by modifying provider ordering behavior using alerts (CDSS) in CPOE system. ( 0,583750604689718 )
Inform Health Soc Care - Information technology and hospice palliative care: social, cultural, ethical and technical implications in a rural setting. ( 0,580251064423947 )
AMIA Annu Symp Proc - Implementation of interinstitutional and transnational remote terminology services. ( 0,57865370805486 )
J Am Med Inform Assoc - Collaborative knowledge acquisition for the design of context-aware alert systems. ( 0,578152077046092 )
AMIA Annu Symp Proc - An Algorithm Using Twelve Properties of Antibiotics to Find the Recommended Antibiotics, as in CPGs. ( 0,57681781378728 )
J Am Med Inform Assoc - Prevalence of medication administration errors in two medical units with automated prescription and dispensing. ( 0,576437490734794 )
J Am Med Inform Assoc - Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. ( 0,575717630889825 )
Comput Methods Programs Biomed - Physicians' responses to computerized drug-drug interaction alerts for outpatients. ( 0,573676317307249 )
J Am Med Inform Assoc - Development and use of active clinical decision support for preemptive pharmacogenomics. ( 0,573282027586592 )
Appl Clin Inform - Drug interaction alert override rates in the Meaningful Use era: no evidence of progress. ( 0,573102467642814 )
Telemed J E Health - Rural inpatient telepharmacy consultation demonstration for after-hours medication review. ( 0,573101616960744 )
Methods Inf Med - From adverse drug event detection to prevention. A novel clinical decision support framework for medication safety. ( 0,572745656498633 )
BMC Med Inform Decis Mak - Variability of the impact of adverse events on physicians' decision making. ( 0,572221671839992 )
Int J Med Inform - Policy initiatives for health information technology: a qualitative study of U.S. expectations and Canada's experience. ( 0,569742519826667 )
BMC Med Inform Decis Mak - On the alert: future priorities for alerts in clinical decision support for computerized physician order entry identified from a European workshop. ( 0,567937032678522 )
J Am Med Inform Assoc - Factors contributing to an increase in duplicate medication order errors after CPOE implementation. ( 0,567891274514277 )
J Am Med Inform Assoc - Building better guidelines with BRIDGE-Wiz: development and evaluation of a software assistant to promote clarity, transparency, and implementability. ( 0,566692022377879 )
J Am Med Inform Assoc - Ambulatory prescribing errors among community-based providers in two states. ( 0,566584945175446 )
J Am Med Inform Assoc - Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system. ( 0,565745915719043 )
Int J Med Inform - Improved HIV-related outcomes associated with implementation of a novel public health information exchange. ( 0,565524865062972 )
J Am Med Inform Assoc - Sensitivity and specificity of dosing alerts for dosing errors among hospitalized pediatric patients. ( 0,564602110920733 )
J Am Med Inform Assoc - Integrating pharmacogenetic information and clinical decision support into the electronic health record. ( 0,564259877033965 )
AMIA Annu Symp Proc - Reducing wrong patient selection errors: exploring the design space of user interface techniques. ( 0,564058558119848 )
Int J Med Inform - The effect of using the health smart card vs. CPOE reminder system on the prescribing practices of non-obstetric physicians during outpatient visits for pregnant women in Taiwan. ( 0,56230223218155 )
J Am Med Inform Assoc - Sorrell v. IMS Health: issues and opportunities for informaticians. ( 0,562220556386005 )
J. Med. Internet Res. - Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors. ( 0,561702453846887 )
Geospat Health - Using geographical information systems for defining the accessibility to health care facilities in Jeddah City, Saudi Arabia. ( 0,561341271558211 )
Appl Clin Inform - Developing clinical decision support within a commercial electronic health record system to improve antimicrobial prescribing in the neonatal ICU. ( 0,560631976870193 )
J Med Syst - Two RFID-based solutions for secure inpatient medication administration. ( 0,559756642757827 )
Int J Med Inform - Evaluation of medication dose alerts in pediatric inpatients. ( 0,558878948442635 )
Int J Health Geogr - Mapping the capacities of fixed health facilities to cover people at risk of gambiense human African trypanosomiasis. ( 0,557847678305026 )
J Am Med Inform Assoc - Paving the COWpath: data-driven design of pediatric order sets. ( 0,557406455175733 )
Appl Clin Inform - Decision Support Alerts for Medication Ordering in a Computerized Provider Order Entry (CPOE) System: A systematic approach to decrease alerts. ( 0,556271604708184 )
Int J Med Inform - An RFID solution for enhancing inpatient medication safety with real-time verifiable grouping-proof. ( 0,555649021700314 )
J Am Med Inform Assoc - Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. ( 0,554841726362746 )
Comput Methods Programs Biomed - A prescription fraud detection model. ( 0,554830574277189 )
J Am Med Inform Assoc - Errors associated with outpatient computerized prescribing systems. ( 0,554424391307953 )
Int J Med Inform - What, if all alerts were specific - estimating the potential impact on drug interaction alert burden. ( 0,553842010818852 )
Perspect Health Inf Manag - Innovation in Indian healthcare: using health information technology to achieve health equity for American Indian and Alaska Native populations. ( 0,553786305533564 )
Int J Med Inform - Trustworthy reuse of health data: a transnational perspective. ( 0,553564369097746 )
Brief. Bioinformatics - Correcting Illumina data. ( 0,552935289037003 )
J Am Med Inform Assoc - Evaluating the accuracy of electronic pediatric drug dosing rules. ( 0,551872382587292 )
Appl Clin Inform - Estimation of severe drug-drug interaction warnings by medical specialist groups for Austrian nationwide eMedication. ( 0,551625949117211 )
J. Med. Internet Res. - Opportunities and challenges of cloud computing to improve health care services. ( 0,551449879587411 )
Int J Med Inform - Prescription order risk factors for pediatric dosing alerts. ( 0,550814166306507 )
BMC Med Inform Decis Mak - Practice guidelines and clinical risk assessment models: is it time to reform? ( 0,550449322469039 )
BMC Med Inform Decis Mak - Building consensus about eHealth in Slovene primary health care: Delphi study. ( 0,549801922709225 )
Med Decis Making - STAR--people-powered prioritization: a 21st-century solution to allocation headaches. ( 0,548998649411893 )
Inform Health Soc Care - Identifying health facilities outside the enterprise: challenges and strategies for supporting health reform and meaningful use. ( 0,548841755633874 )
J. Med. Internet Res. - A multidimensional view of personal health systems for underserved populations. ( 0,548703614641655 )
Appl Clin Inform - Effect of EHR user interface changes on internal prescription discrepancies. ( 0,548563971146325 )
AMIA Annu Symp Proc - I meant that med for Baylee not Bailey!: a mixed method study to identify incidence and risk factors for CPOE patient misidentification. ( 0,546930573636257 )
Med Decis Making - Better medicine by default. ( 0,546587929824823 )
Int J Med Inform - Technology-related medication errors in a tertiary hospital: a 5-year analysis of reported medication incidents. ( 0,54628339654361 )